Sadaqat

Medical Billing & Credentialing Specialist

Managed U.S. medical billing and Revenue Cycle Management (RCM), including insurance eligibility and benefits verification, charge entry, claims submission, payment posting, AR follow-up, denial management, claim corrections, resubmissions, and appeals.. Handled Medicare, Medicaid, and commercial insurance claims and reviewed EOBs and ERAs to identify and resolve billing issues.. Maintained accurate patient and provider billing records and followed up on unpaid, denied, and underpaid claims.. Worked for one year in provider credentialing and enrollment, including CAQH, NPI, PECOS, Medicare and Medicaid enrollment, commercial payer credentialing, and recredentialing.. Managed provider applications, license and certification verification, malpractice insurance documentation, W-9 forms, and payer follow-ups.. Tracked credentialing applications, enrollment status, required documents, expirations, and follow-up activities.. Maintained HIPAA-compliant documentation and supported efficient communication between providers, patients, and insurance payers.